Psychiatry

Question 1

Birth defects associated with BDZ

Answer 1

Cleft lip and palate, floppy infant syndrome (hypothermia, lethargy, poor respiratory effort)

Question 2

Birth defects associated with lithium

Answer 2

Ebstein’s anomalie- abnormality of the leaflets of the tricuspid valve

Question 3

Pregnancy risks associated with untreated depression

Answer 3

Preterm birth
Low birth weight
IUGR

Question 4

Pregnancy risks of untreated anxiety

Answer 4

SAB
PTB
Increase risk of forceps delivery
Prolonged labor

Question 5

Paroxetine in pregnancy

Answer 5

Should be avoided
2x increased risk of ASD/VSD
If unintentional exposure occurred, patient should get fetal Echo at 20 weeks

SSRIs in late 3rd trimester can cause TTN, pulmonary HTN,

Question 6

Effects associated with valproic acid

Answer 6

Neural tube defects, craniofacial, limb and heart defect

Question 7

Carbamazepine birth defects

Answer 7

Finger nail hyperplasia, facial dysmorphism

Question 8

Hydantoin syndrome

Answer 8

Causes by Dilantin (phenytoin)

Pre and postnatal growth restriction
Microcephaly
Mental retardation
Phalangeal hypoplasia